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Lisfranc

  1. #1
    Default Lisfranc
    Medical Coding Books
    My doc did orif of metatarsals 1,2,3 as well as arthrodesis of tarsometatarsal joints 1,2,3 for "Lisfranc" fracture/dislocation.

    I am looking at 28485(x3) + 28730, I cannot find any edits stating these are included with each other, but I can't seem to wrap my mind around billing both orif and arthrodesis for the same fracture/dislocation????

    How are you billing Lisfranc fracture/dislocation with both procedures being done??

    Thanks

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I asked this question previously and the consensus of respondents was 28615 and 28485 (for the ORIF per joint). You can also find an article on AAOS regarding this. Good luck!
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default But
    Thank you for your prompt response, but what about the arthrodesis???



    I did read AAOS article (dec 2003?) on this but it didn't seem to help me much.

    So what it's a coder's dream come true ? Charge it all!!!

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I believe 28615 serves as the arthrodesis for a LisFranc. At least that is what I was told when I asked the same question...
    Lisa Bledsoe, CPC, CPMA

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